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General NPI Number Information
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NPI Number | 1649355934
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Entity Type | Organization
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Legal Business Name | STURGIS PHARMACY
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 523 N ADAMS ST
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City | STURGIS
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State | KY
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Zip | 42459-1413
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Country | US
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Telephone | 270-333-4672
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Fax | 270-333-4478
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Provider Business Mailing Address
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Address Line | 523 N ADAMS ST
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City | STURGIS
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State | KY
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Zip | 42459-1413
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Country | US
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Telephone | 270-333-4672
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Fax | 270-333-4478
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Authorized Official
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Title or Position | PHARMACIST
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Name | JONATHAN RATLEY
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Credential |
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Telephone | 270-333-4672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07521
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License Number State | KY
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